NPI | 1437297629 |
---|---|
Doing Business As | GARDEN STREET COMMUNITY HOME |
Entity Type | Organization |
Authorized Contact | JAMES E. RICHARDSON Attorney 318-445-6470 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: LA 960) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-08-22 |